MEDICARE: DEBORAH ANN ARMBRUSTER RD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	133N00000X	Nutritionist	BDNDDN00223180	KY
2	133V00000X	Registered Dietitian	BDBDDN00223180	KY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1578938072
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DEBORAH ANN ARMBRUSTER RD

Provider Business Mailing Address
First Line	:	1656 FOXHAVEN DR
Second Line	:
City	:	RICHMOND
State	:	KY
Zip	:	40475-2807
Country	:	US
Telephone Number	:	513-702-2492
Fax Number	:

Provider Business Practice Location Address
First Line	:	1656 FOXHAVEN DR
Second Line	:
City	:	RICHMOND
State	:	KY
Zip	:	40475-2807
Country	:	US
Telephone Number	:	513-702-2492
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/09/2015
Last Update Date	:	12/09/2015

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